Self-limiting electrosurgical return electrode

a return electrode and self-limiting technology, applied in the field of electrosurgical return electrodes, can solve the problems of unsatisfactory patient burns, additional surgical costs in the united states of several tens of millions of dollars, and hospitals still experiencing patient burns, so as to eliminate patient burns

Inactive Publication Date: 2002-09-24
MEGADYNE MED PROD INC US
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The present invention overcomes the problems of the prior art by providing a return electrode that eliminates patie

Problems solved by technology

If a relatively high current density is produced at the return electrode, the temperature of the patient's skin and tissue will rise in this area and can result in an undesirable patient burn.
These return electrodes are an improvement over the old steel plates and resulted in fewer patient return electrode burns but have resulted in additional surgical costs in the United States of several tens of millions of dollars each year.
Even with this improvement, hospitals were still experiencing some patient

Method used

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  • Self-limiting electrosurgical return electrode
  • Self-limiting electrosurgical return electrode
  • Self-limiting electrosurgical return electrode

Examples

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Embodiment Construction

The self-limiting behavior of the electrosurgical electrode of the present invention results from the existence of sufficient return impedance to make an electrode site burn impossible when the area of contact between the patient and the electrosurgical return electrode is substantially reduced. As shown above, the combination of the maximum electrosurgical currents of 1000 mA coupled with the requirement that the current density be kept below 100 mA / cm.sup.2 yields a minimum safe contact area of 10 cm.sup.2.

In general, this requirement can be met with any number of electronic components hooked together in various configurations, including series and parallel combinations of capacitors, resistors, and even inductors, provided that the total impedance presented by the resulting circuit be about 75 .beta. or greater when the contact area is reduced to 10 cm.sup.2.

Define the total impedance of the circuit between the return electrode of the electrosurgical generator and the patient as ...

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Abstract

A self-limiting electrosurgical return electrode for use with electrosurgery. Through the selection of impedance characteristics for the electrode materials of the principal body of the electrode, and through tailoring of electrode geometries, the return electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The electrosurgical return electrode includes a sheet of material having an effective bulk impedance equal to or greater than about 4,000 OMEGA.cm and one or more connectors for making electrical connection to the sheet. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. The configuration of the presently described return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery. Furthermore, through employment of washable surface areas, the electrode is made readily cleanable, disinfectable, sterilizable, and reusable. An optional sleeve is provided for cooperative use with the electrode.

Description

1. The Field of the InventionThis invention relates to electrosurgery and, more particularly, to return electrodes that are adapted for providing effective and safe electrosurgical energy return without conducting or dielectric gels, which may be reusable and / or disposable.2. The Relevant TechnologyAs is known to those skilled in the art, modern surgical techniques typically employ radio frequency (RF) power to cut tissue and coagulate bleeding encountered in performing surgical procedures. For historical perspective and details of such techniques, reference is made to U.S. Pat. No. 4,936,842, issued to D'Amelio et al., and entitled "Electroprobe Apparatus," the disclosure of which is incorporated by this reference.As is known to those skilled in the medical arts, electrosurgery is widely used and offers many advantages including the use of a single surgical tool for both cutting and coagulation. Every monopolar electrosurgical generator system must have an active electrode which is...

Claims

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Application Information

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IPC IPC(8): A61B18/04A61B18/16A61B18/14A61B18/08A61B19/00
CPCA61B18/08A61B18/16A61B2019/4868Y10S128/908A61B2090/0813
Inventor FLEENOR, RICHARD P.KIEDA, DAVID B.ISAACSON, JAMES D.
Owner MEGADYNE MED PROD INC US
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